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General NPI Number Information
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NPI Number | 1730215096
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Entity Type | Individual
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Provider Name | DEBORAH ELAINE MILLER FNP,RN,PHN
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 2125 KNOLL DR SUITE 200
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City | VENTURA
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State | CA
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Zip | 93003-7329
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Country | US
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Telephone | 805-981-5589
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Fax |
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Provider Business Mailing Address
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Address Line | 11210 SNAPDRAGON ST
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City | VENTURA
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State | CA
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Zip | 93004-1946
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Country | US
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Telephone | 661-618-0021
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | PHN 70874
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP 6455
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License Number State | CA
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